A5089359612- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Pleural and Pulmonary Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Spinal Fractures and Fixation Techniques
- Tracheal and airway disorders
- Pelvic and Acetabular Injuries
- Appendicitis Diagnosis and Management
- Spine and Intervertebral Disc Pathology
- Gallbladder and Bile Duct Disorders
- Congenital Diaphragmatic Hernia Studies
- Airway Management and Intubation Techniques
- Hip and Femur Fractures
- Disaster Response and Management
- Restraint-Related Deaths
- Bacillus and Francisella bacterial research
- Ultrasound in Clinical Applications
- Aortic Disease and Treatment Approaches
- Thermal Regulation in Medicine
- Anesthesia and Pain Management
University of Utah
2012-2024
University of Nevada, Las Vegas
2022
University of Arkansas Medical Center
2022
Tulane University
2022
Regional Medical Center
2022
Our Lady of the Lake Regional Medical Center
2022
Marshfield Clinic
2020
Massachusetts General Hospital
2020
Mayo Clinic in Arizona
2018
Intermountain Medical Center
2018
BACKGROUND The frailty index is a known predictor of adverse outcomes in geriatric patients. Trauma-Specific Frailty Index (TSFI) was created and validated at single center to accurately identify reliably predict worse among trauma This study aims prospectively validate the TSFI multi-institutional cohort METHODS prospective, observational, trial across 17 American College Surgeons Levels I, II, III centers. All patients (65 years older) presenting during 3-year period were included. status...
Pancreatic or peripancreatic tissue necrosis confers substantial morbidity and mortality. New modalities have created a wide variation in approaches timing of interventions for necrotizing pancreatitis. As acute care surgery evolves, its practitioners are increasingly being called upon to manage these complex patients.A systematic review the MEDLINE database using PubMed was performed. English language articles regarding pancreatic from 1980 2014 were included. Letters editor, case reports,...
The traditional sequence of trauma care: Airway, Breathing, Circulation (ABC) has been practiced for many years. It became the standard care despite lack scientific evidence. We hypothesized that patients in hypovolemic shock would have comparable outcomes with initiation bleeding treatment (transfusion) prior to intubation (CAB), compared those treated ABC sequence. This study was sponsored by American Association Surgery Trauma multicenter trials committee. performed a retrospective...
INTRODUCTION Pancreatic trauma results in high morbidity and mortality, part caused by the delay diagnosis subsequent organ dysfunction. Optimal operative management strategies remain unclear. We therefore sought to determine CT accuracy diagnosing pancreatic injury mortality associated with varying strategies. METHODS created a multicenter, registry from 18 Level 1 2 centers. Adult, blunt or penetrating injured patients 2005 2012 were analyzed. Sensitivity specificity of scan identification...
BACKGROUND Preinjury antithrombotic (AT) use is associated with worse outcomes for geriatric (65 years or older) patients traumatic brain injury (TBI). Previous studies have found that of AT outside established guidelines widespread in TBI patients. METHODS In this single-center retrospective cross-sectional study, we examined inappropriate among presenting intracranial hemorrhage. We reviewed records 65 older preinjury who presented to a Level 1 trauma center hemorrhage between 2016 and...
In Brief BACKGROUND Pulmonary contusion (PC) is a common injury associated with blunt chest trauma. Complications such as pneumonia and adult respiratory distress syndrome (ARDS) occur in up to 50% of patients PC. The ability predict which PC are at increased risk developing complications would be tremendous clinical utility. this study, we test the hypothesis that novel method objectively measures percent can used identify develop ARDS after injury. METHODS Patients unilateral or bilateral...
In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed ICU (SICU) who met physiologic inclusion criteria beginning May 2008 (A group). January 2009, we began mandatory entry of computerized orders as part standardized order set. also created protocol for nurses this ICU. then collected postintervention cohort (B Both groups had similar baseline characteristics. A group form entered 29...
Data from the trauma patient population suggests handsewn (HS) anastomoses are superior to stapled (ST). A recent retrospective study in emergency general surgery (EGS) patients had similar findings. The aim of current was evaluate HS and ST EGS undergoing urgent/emergent operations.The sponsored by American Association for Surgery Trauma Multi-Institutional Studies Committee. Patients bowel resection pathology were prospectively enrolled July 22, 2013 December 31, 2015. grouped HS/ST...
Tourniquet use for extremity hemorrhage control has seen a recent increase in civilian usage. Previous retrospective studies demonstrated that tourniquets improve outcomes major trauma (MET). No prospective study been conducted to date. The objective of this was evaluate MET patients with prehospital tourniquet use. We hypothesized decreases the incidence arriving center shock.Data were collected prospectively adult at 26 Level I and 3 II centers from 2015 2020. Limbs applied setting...
Patients with nontraumatic acute intracranial pathology benefit from neurointensivist care. Similarly, trauma patients and without traumatic brain injury (TBI) fare better when treated by a dedicated team. No study has yet evaluated the role of specialized neurocritical (NICU) intensive care units (TICU) in management TBI patients, it remains unclear which are best served NICU, TICU, or general (Med/Surg) ICU.This is secondary analysis The American Association for Surgery Trauma...
Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used analgesic and adjuncts. drug administration may potentially increase the risk of postoperative gastrointestinal anastomotic failure (AF). We aim to determine if perioperative NSAID utilization influences AF in emergency general surgery (EGS) patients undergoing resection anastomosis.Post hoc analysis a multi-institutional prospectively collected database was performed. Anastomotic defined as occurrence dehiscence/leak, fistula,...
The American Association for the Surgery of Trauma (AAST) patient assessment committee has created grading systems emergency general surgery diseases to assist with clinical decision making and risk adjustment during research. Single-institution studies have validated cholecystitis system as associated outcomes. Our aim was validate in a multi-institutional fashion compare it Parkland grade Tokyo Guidelines acute cholecystitis.Patients presenting 1 8 institutions were enrolled. Discrete data...
BACKGROUND Current evaluation of rib fractures focuses almost exclusively on flail chest with little attention bicortically displaced fractures. Chest trauma that is severe enough to cause leads worse outcomes. An association between and pulmonary outcomes would potentially change patient care in the setting trauma. We tested hypothesis were an important clinical marker for patients nonflail METHODS This nine-center American Association Surgery Trauma multi-institutional study analyzed...
Transversus abdominis plane block with liposomal bupivacaine has been studied as an effective method of reducing the need for postoperative opioids and increasing same-day discharge rates. However, less is known about cost-effectiveness this strategy relative to alone hernia repair. We performed economic evaluation these strategies using a computer simulation model.A decision tree was constructed determine measured by incremental ratios per quality-adjusted life-year. Base-case costs,...
Grading systems for acute cholecystitis are essential to compare outcomes, improve quality, and advance research. The American Association the Surgery of Trauma (AAST) grading system was only moderately discriminant when predicting multiple outcomes underperformed Tokyo guidelines Parkland grade. We hypothesized that through additional expert consensus, predictive capacity AAST anatomic could be improved.A modified Delphi approach used revise system. Changes were made distribution patients...
BACKGROUND Risk‐adjusted benchmarking could be useful to compare blood utilization between hospitals or individual groups, such as physicians, while accounting for differences in patient complexity. The aim of this study was analyze the association red cell (RBC) use and diagnosis‐related group (DRG) weights across all inpatient hospital stays determine suitability using DRGs between‐hospital risk‐adjusted benchmarking. Specific hierarchical organizational units (surgical vs. nonsurgical...